title: Medication appropriateness at end of life: a new tool for balancing medicine and communication for optimal outcomes--the BUILD model.
abstract: The BUILD model was created to provide a systematic framework for hospice clinicians to have important conversations with patients and families as well as facilitating useful conversations with interdisciplinary teammates. Although this article focuses on medication appropriateness and discontinuation of medications, this model can also be used when discussing prognosis, code status, goals of care, drug diversion, and when collaborating to develop a plan of care. When provided with a communication tool that is versatile, logical, and effective, hospice clinicians may use it, supporting improved patient care outcomes.
authors.affiliation: Kyna Setsor Collier, RN, BSN, CHPN, is a Clinical Nurse Educator, HospiScript Services, a Catamaran Company, Dublin, Ohio. Jason M. Kimbrel, RPh, PharmD, BCPS, is the Vice President of Clinical Services, HospiScript Services, a Catamaran Company, Dublin, Ohio. Bridget McCrate Protus, RPh, PharmD, CGP, is the Director of Drug Information, HospiScript Services, a Catamaran Company, Dublin, Ohio.
authors.forename: Kyna Setsor
authors.initials: KS
authors.lastname: Collier
authors.forename: Jason M
authors.initials: JM
authors.lastname: Kimbrel
authors.forename: Bridget McCrate
authors.initials: BM
authors.lastname: Protus
mesh_terms: D003657:Decision Making; D011307:Drug Prescriptions / Q000706:statistics & numerical data*; D055318:Evidence-Based Nursing; D006040:Goals; D006738:Hospices / Q000458:organization & administration*; D006801:Humans; D057970:Inappropriate Prescribing / Q000706:statistics & numerical data*; D008017:Life Expectancy; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D011368:Professional-Family Relations; D013727:Terminal Care / Q000458:organization & administration*; D013997:Time Factors